Gummy Smile Treatment Melbourne
What is a gummy smile?
Simply put, a gummy smile is when excessive gum shows in a smile. A gummy smile is generally considered to be present when more than 3 – 4mm of the gumline is visible when smiling. While there isn’t a precise measurement, this guideline helps dentists and individuals determine if a smile exhibits excessive gum display.
If you are concerned about the amount of gum showing if your upper lip moves too high when you smile, this can be treated cosmetically with non-invasive procedures.
Enlargement of the gums or gingival hypertrophy is another cause of a gummy smile, and in this case, a dentist should be contacted.
What causes a gummy smile?
There are various reasons why you may have a gummy smile, including genetics. However, some issues of use or poor oral hygiene can also cause excess gum tissue.
Misaligned teeth
Some adult teeth can naturally grow along with excess gum, which is often a genetic trait. These growth traits can be divided into three categories:
- Altered passive eruption: Occurs when adult teeth are significantly covered by your gums when they grow in.
- Dentoalveolar extrusion: If your front teeth grew in too far, your gums may have grown too far alongside them.
- Vertical maxillary excess: The bones of your upper jaw have grown longer than their usual length.
Beyond growth issues, teeth that are crowded or have large gaps between them can seem too short for the amount of gum around them. This can happen even if your teeth are the right size, it is just the illusion created by misalignment.
Teeth or Gum Wear
Usage can cause your teeth to wear down over time, making your upper teeth shift downwards. The gums thus move down alongside the teeth, creating extra gum tissue.
Additionally, poor oral hygiene or excessive mouth breathing can encourage gum overgrowth.
Lip Differences
A gummy smile can be caused by a genetically short upper lip or overactive lip elevator muscles when smiling.
Long Face Syndrome
‘Long face syndrome’, also known as facial hyperdivergence, has been known to cause a gummy smile. Difficulties with breathing through the nose during development can cause mouth breathing and failure of the tongue to rest on the palate of the mouth.
This leads to downward growth of the upper jaw rather than widening. This produces a long face, difficulties with closing the mouth, a relatively short upper lip and gum show.
How to fix a gummy smile
Even if genetics are at play, that does not mean gummy smiles are untreatable. There are various options available to fix many causes of a gummy smile.
Orthognathic surgery
If the issue lies in the set of your jaw, you can choose Orthognathic surgery to correct jaw bone irregularities. In the case of a gummy smile, this surgery usually aims to move the upper jaw upwards.
This option can be utilised alongside orthodontics like braces to guarantee a perfect smile. However, this procedure requires a substantial recovery, and is only available after jaw growth has stopped. This service is not offered at the Victorian Cosmetic Institute.
Gum lift
Gum surgery, also known as a gingivectomy, reshapes excess gum tissue with a scalpel or laser. This allows more teeth to be shown as the height of the gum line is reduced. This service is not offered at Victorian Cosmetic Institute.
Non-invasive Gummy Smile Treatments
Non-invasive treatments for a gummy smile are available at Victorian Cosmetic Institute which aim to reduce the amount of lift produced by the levator labii superioris alaeque nasi muscle.
The levator labii superioris alaeque nasi muscle connects the middle corner of the eye to the upper lip and works to lift the upper lip and enables you to snarl. It is often coined the ‘Elvis muscle‘ for this reason.
The muscle that surrounds the upper lip, the orbicularis oris, may also be treated. This muscle causes the lip to curl in and reduce in height, especially when smiling. Treating this muscle causes it to evert and become thicker, reducing gum show. One side effect of this treatment is the loss of some function of the upper lip and difficulties with using a straw, sipping tea or whistling. This problem is usually short-lived and well-tolerated by most who have the treatment.
This procedure is relatively quick and non-invasive.
Lip volume
In some cases, treating any volume loss in the lips may improve the appearance of a gummy smile.
Treatment is usually performed on the upper lip to help increase its thickness and better cover the upper gums.

Who is a suitable candidate for gummy smile treatment?
Generally, anyone who has a gummy smile is suitable for treatment. Unless there is an underlying health issue, or impracticality of the procedure pertaining to your particular smile, treatment should be viable.
If you have any concerns or questions, ask your doctor for more information.
Who cannot get gummy smile injections?
The main reason why you may not be able to get your new smile is the placement of your features before treatment.
One issue is if you have a long distance between your nose and upper lip; also known as a cutaneous lip. Aesthetically this treatment may not be possible as the area will continue to lengthen over time, creating additional aesthetic concerns.
Alternatively, if the middle of your bottom upper lip sits lower than the sides when you smile, treatment may not be suitable. This is because the muscle that lifts the centre of the lip could remain too low when you smile, leading to what’s known as a “joker smile.”
How do I prepare for gummy smile treatment?
Preparation is best started by discussing your options with one of our experienced practitioners. They know your smile best and can offer the necessary treatment for your gummy smile.
What can I expect during gummy smile treatment?
Here at Victoria Cosmetic Institute, we perform several non-invasive treatments for gummy smile. When it comes to the treatment, the exact treatment method used for the procedure will be determined by your doctor during your initial consultation. Oftentimes a conservative approach will be used for your initial treatment, and further treatment performed if required, to prevent over treatment.
There may be some bruising or swelling around the treatment sites, but they should disappear within two days to a week. There will be a follow-up treatment needed at some point to maintain the reduction of your gummy smile.
Your doctor will assess the effect of the treatment in your review appointment to determine whether any follow up treatment is required.
Treatment for gummy smile procedure can take anywhere from thirty to sixty minutes to perform, and may take a few weeks to see the results.
What are the risks and side effects of gummy smile injections?
Gummy smile treatments are generally low risk, however all procedures do carry some risks and side effects. Some risks and side effects associated with the various gummy smile procedures include:
- Redness
- Pain
- Bruising
- Swelling
- Itching
- Infection
- Injury to blood vessels
- Asymmetries in the face
Over-treatment of gummy smiles is a significant, albeit temporary aesthetic risk with treatment and this can lead to the opposite problem. Starting with conservative treatment helps to avoid this problem, and treatment may be gradually increased as required
Any severe side effects are incredibly rare, but if you are concerned, you can further discuss the risks with your treating doctor before the procedure. They will review the best option with the lowest risk for your particular issue.
FAQs
Is gummy smile treatment painful?
If required, a numbing agent can be used before any procedure, meaning that there should be minimal discomfort during the treatment.
How many treatments will I need?
Gummy smile treatment is not permanent, and will usually take one to two treatments for an optimal outcome. Gummy smile procedures need upkeep, which is determined by how effective the treatment is and how long it lasts on each individual. On average, patients will repeat their gummy smile treatments every 3 to 6 months to maintain their results.
How much does gummy smile treatment cost?
The exact costs depend on which treatment is performed, as well as the number of treatments needed for your gummy smile. A written quote will be provided at your initial consultation detailing the costs and recommended frequency of treatments. Information on consultation fees can be found on our pricing page.
What is the recovery and down time like for gummy smile treatment?
There are several aftercare instructions to follow after a procedure in order to keep your smile healthy. These include:
- Not touching the injection sites for at least six hours
- No lying down for the next four hours
- No makeup for four hours, and no face products containing acids for at least twenty-four hours
- No heavy exercise or massages that day
- Avoiding excess sun and saunas for at least one week
If you follow these instructions, your new smile should maintain its shape with no further issues. If you find the bruising or swelling around the treatment area have not gone down during the time your doctor has estimated, or you are experiencing any significant pain, you should contact your doctor for consultation.
Why choose the Victorian Cosmetic Institute for your gummy smile treatment?
Our practitioners in Melbourne have many years of experience in gummy smile treatment. We allow you ample time to communicate your aesthetic goals to us and use our expertise to help you achieve your desired outcome.
Our goals with your treatment are to;
- Provide you with a careful and honest aesthetic assessment
- Achieve the most optimal aesthetic result
- Cause as little bruising and swelling as possible
- Ensure that your procedure is as comfortable as possible for you.
Making that first phone call about any cosmetic procedure can be a confronting task – many of our patients have preferred to book their initial consultation online. We can then contact you with an understanding of the results you are hopeful of achieving and finalise the booking for you. Otherwise, you can phone us directly on 1300 863 824.
Last updated May 2025